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General NPI Number Information
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NPI Number | 1992348510
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Entity Type | Organization
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Legal Business Name | NEW SPECTRUM OCCUPATIONAL THERAPY SERVICES LLC
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Dates
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Enumeration Date | 10/26/2019
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Last Update Date | 12/11/2019
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Provider Practice Location Address
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Address Line | 14360 BELLAIRE BLVD STE 132
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City | HOUSTON
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State | TX
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Zip | 77083-7516
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Country | US
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Telephone | 832-495-3345
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Fax |
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Provider Business Mailing Address
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Address Line | 14360 BELLAIRE BLVD STE 132
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City | HOUSTON
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State | TX
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Zip | 77083-7516
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Country | US
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Telephone | 832-495-3345
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST/OWNER
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Name | STEPHANIE OGUCHI
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Credential |
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Telephone | 832-495-3345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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